MDS Healthcare Coordinator

MDS Healthcare Coordinator - CCSP MDS Healthcare Coordinator - Georgia Who are we? Caring for Atlanta for over 78 years, Visiting Nurse Health System is a leading, non-profit provider of home healthcare, long-term care at home, hospice, and palliative care services. We pride ourselves on helping patients and their loved ones receive care at home following an illness, surgery, or hospital stay. We offer not just a job but also purpose, impact, and the chance to care deeply for people in the comfort of their homes. Our vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. We look not only to achieve but also to maintain exemplary patient and employee satisfaction levels. VNHS is dedicated to continuing our investment in strong community partnerships, providing coordinated care solutions, developing a top-performing workforce, and innovating technologies to improve affordability and access to patient care. We aim to be an organization where healthcare professionals not only prefer to work but also can grow as professionals. For more information on our organization, please visit us here. Every day, we strive to display our four core values, and we are looking for top-tier clinicians who embody them not only in their professional life but also personally. Respect & Integrity - We practice the highest ethical standards and honor our commitments. We are fair, transparent, honest, and person-centered in all our actions. We value the beliefs and opinions of our diverse community of patients and employees. Excellence - We are committed to delivering the best outcomes and highest quality service through the dedicated efforts of every team member. We are committed to continuous improvement in all that we do and strive to be leaders for others to emulate. Stewardship - We enhance the lives of those we serve through responsible planning and management of the resources entrusted to us, with each of us contributing toward a shared purpose. Care – We will provide compassionate person-centered care while respecting individual physical, emotional, and spiritual needs Job Overview Visiting Nurse Health System is hiring an MDSHC Coordinator for CCSP who coordinates care for a caseload of patients, ensuring care meets quality standards and utilization guidelines. The MDSHC Coordinator provides upfront review of admission documentation for submission of client assessment data and supplemental medical records into the Georgia Medical Care Foundation (GMCF) online portal. Keys and inputs client data into the GMCF online portal daily. Acts as resource to clinical staff regarding assessment documentation. Provides education and training to CCSP Leadership and clinical teams regarding quality issues, denial reasons and documentation standards based on trends resulting in technical denials from GMCF. Communicates with other waiver programs as necessary to update on client status regarding current waiver services. Tracks denials and appeals internally using Excel spread sheet, communicating updates to appropriate staff. Work in collaboration with the Level of Care Coordinator, works to contact the client’s primary care physician contact to obtain signed Levels of Care in a timely manner before they expire. This is an office-based clinical position with minimal opportunities to provide support in the field. There are times when it is required and necessary for this position to make field visits to clients to determine if they meet the level of care required for the Community Care Services Program (CCSP). What You’ll Do: Quality Review Identifies any corrections to the client’s record that are needed/required and works with the individual clinician to ensure corrections are done completely and timely. (Within 24 hours of request for correction) Provides education= and training as required regarding clinical documentation requirements to clinician. Assists clinician supervisors in validating staff performance and compliance with clinical policy and procedure related to the care and services to the client. Reviews admission, comprehensive assessment and visit notes. Clinical Resource Provides feedback to Supervisor and/or members of the CCSP Leadership team regarding clinicians who are non-compliant with correction procedures. Tracks and makes recommendations for clinician performance improvement to the clinician’s Manager based on results of clinical reviews. Direction Develops staff to independent level of functioning. Progressively counsels’ staff who do not comply with VNHS policy and practices. Actively participates in performance improvement process with Management. Demonstrates effective time management skills. Regulatory Maintains knowledge of GMCF requirements and promotes compliance. Demonstrates knowledge and understanding of Medicare and Medicaid regulations and standards of care. Quality of Work Makes suggestions for improvement in processes/systems to supervisor; implements changes in processes as directed. Has established a track record of producing work that is highly accurate, demonstrates attention to detail and reflects well on the organization. Is personally committed to high quality of work and encourages others to have similar standards. Schedule: In Office M-F 8-5PM Location: Office Location will be at our Hartsfield office in Atlanta, GA You’re Perfect for the Position if you: Graduated from an accredited nursing program (Diploma, Associate, or BSN Required). Hold current licensure by the Georgia State Board of Nursing and valid CPR certification. Possess a valid driver’s license, reliable transportation, and current auto insurance. 1-2 years of recent nursing experience. Preference given to Home Health, Long Term Care and/or MDS experience. Exhibit advanced clinical nursing skills and comfort collaborating with interdisciplinary teams. Have proven decision-making, time management, and interpersonal skills, functioning independently in a home environment. Are proficient with computers and basic technology for documentation, email, HR systems, and online training. Why Work for Visiting Nurse Health System? Medical, Dental, and Vision insurance PTO and Paid Holidays 403b Retirement Plan with Company Match Flexible Spending Account (FSA) Health Savings Account (HSA) Life Insurance Employee Assistance Program Employee Discounts Flexible Schedule Pet Insurance Join us in our mission to provide excellent care, comfort, and dignity to our patients! Visiting Nurse is an equal opportunity employer and does not discriminate against qualified applicants based on race, color, sex, gender, gender identity, gender expression, religious creed, sexual orientation, pregnancy, national origin, ancestry, age, military and veteran status, marital status, physical or mental disability, protected medical condition, genetic information, reproductive health decision-making, lawful off-duty use of marijuana, any other characteristic protected by law, or any combination of two or more of the characteristics listed here. If you need an accommodation to complete an online application, please contact Visiting Nurse at 404-215-6100.